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Scleral Depression to Facilitate Endophotocoagulation

Scleral Depression to Facilitate Endophotocoagulation Abstract To the Editor. —The beneficial effects of intraoperative endophotocoagulation as an adjunct to trans pars plana vitrectomy surgery for diabetic retinal detachments and proliferative vitreoretinopathy have been well established.1 However, even after anteroposterior traction has been relieved, it is often difficult to achieve adequate photocoagulation of various sections of the retina. This may variably be due to residual elevation of the retina with subretinal fluid or excessive swelling of normally apposed retina secondary to intraretinal edema.It has been our observation that the application of endophotocoagulation is facilitated when the surgical assistant performs scleral depression of the peripheral and midperipheral retina while photocoagulation is applied by the surgeon. This appears to act as a "press" and forces intraretinal fluid away from the site of photocoagulation. Similarly, scleral depression brings elevated retina into closer apposition with the retinal pigment epithelium when there is residual subretinal fluid. In this manner, thorough References 1. Fisher YL, Shakin JL, Slakter JS, et al: C3F8 gas, panretinal photocoagulation, and vitrectomy in the treatment of severe proliferative vitreoretinopathy. Presented as a poster at the American Academy of Ophthalmology Meeting, Dallas, Nov 13, 1987. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Scleral Depression to Facilitate Endophotocoagulation

Friedman, Robert
Archives of Ophthalmology , Volume 106 (6) – Jun 1, 1988
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Scleral Depression to Facilitate Endophotocoagulation

Abstract

Abstract To the Editor. —The beneficial effects of intraoperative endophotocoagulation as an adjunct to trans pars plana vitrectomy surgery for diabetic retinal detachments and proliferative vitreoretinopathy have been well established.1 However, even after anteroposterior traction has been relieved, it is often difficult to achieve adequate photocoagulation of various sections of the retina. This may variably be due to residual elevation of the retina with subretinal fluid or excessive...
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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1988.01060130791011
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —The beneficial effects of intraoperative endophotocoagulation as an adjunct to trans pars plana vitrectomy surgery for diabetic retinal detachments and proliferative vitreoretinopathy have been well established.1 However, even after anteroposterior traction has been relieved, it is often difficult to achieve adequate photocoagulation of various sections of the retina. This may variably be due to residual elevation of the retina with subretinal fluid or excessive swelling of normally apposed retina secondary to intraretinal edema.It has been our observation that the application of endophotocoagulation is facilitated when the surgical assistant performs scleral depression of the peripheral and midperipheral retina while photocoagulation is applied by the surgeon. This appears to act as a "press" and forces intraretinal fluid away from the site of photocoagulation. Similarly, scleral depression brings elevated retina into closer apposition with the retinal pigment epithelium when there is residual subretinal fluid. In this manner, thorough References 1. Fisher YL, Shakin JL, Slakter JS, et al: C3F8 gas, panretinal photocoagulation, and vitrectomy in the treatment of severe proliferative vitreoretinopathy. Presented as a poster at the American Academy of Ophthalmology Meeting, Dallas, Nov 13, 1987.

Journal

Archives of Ophthalmology – American Medical Association

Published: Jun 1, 1988

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